* To take the test online, go to our secure Web site at www.nursingcenter.com/ce/ajn.
* To use the form provided in this issue, record your answers in the test answer section of the CE enrollment form below. Each question has only one correct answer. You may make copies of the form.
* Complete the registration information and course evaluation. Mail the completed enrollment form and registration fee to: Lippincott Williams and Wilkins, CE Group, 74 Brick Blvd., Bldg. 4, Suite 206, Brick, NJ 08723. You will receive your certificate in four to six weeks. For faster service, include a fax number and we will fax your certificate within two business days of receiving your enrollment form. You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no minimum passing grade.
* Registration deadline is October 31, 2014.
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* Send in together two or more tests from any nursing journal published by Lippincott, Williams and Wilkins (LWW), and deduct $0.95 from the price of each test.
* We also offer CE accounts for hospitals and other health care facilities online at www.nursingcenter.com. Call 1-800-787-8985 for details.
LWW, publisher of AJN, will award the number of contact hours indicated for each continuing nursing education activity. LWW is accredited as a provider of continuing nursing education by the Commission on Accreditation of the American Nurses Credentialing Center (ANCC).
These activities are also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for the number of contact hours indicated. LWW is also an approved provider of continuing nursing education by the District of Columbia and Florida #FBN2454. Your certificate is valid in all states.
The ANCC's accreditation status of the LWW Department of Continuing Education refers to its continuing nursing educational activities only and does not imply Commission on Accreditation approval or endorsement of any commercial product.
CE TEST QUESTIONS
To provide registered professional nurses with current information about celiac disease.
After reading this article and taking this test, you will be able to
* outline the pathophysiology and epidemiology of celiac disease.
* discuss the signs and symptoms, diagnosis, treatment, and nursing implications related to celiac disease.
1. All of the following are true regarding celiac disease except that it
a. is T-cell mediated.
b. targets the stomach.
c. is an autoimmune disorder.
d. is a genetic illness.
2. Another name for celiac disease is
a. endemic sprue.
b. Crohn's disease.
d. irritable bowel syndrome.
3. For U.S. adults with celiac disease, what is the average time from onset of symptoms to diagnosis?
a. 6 months
b. 2 years
c. 5 years
d. 10 years
4. Of the following statements, which is accurate regarding the prevalence of celiac disease?
a. The prevalence is about 1 in 3,000 worldwide.
b. In Europe, celiac disease is one of the most commonly diagnosed genetic diseases.
c. The prevalence worldwide is on the decline.
d. The increase in prevalence is due to improved detection methods.
5. Of the following statements, which is true regarding the epidemiology of celiac disease?
a. Celiac disease can manifest at any age.
b. Its incidence decreases with age.
c. It is more prevalent in men.
d. Obesity is a risk factor for the disease.
6. Chronic inflammation in the intestines caused by gluten ingestion leads to
a. a bowel obstruction.
b. ischemic bowel.
c. loss of absorptive ability.
d. melanosis coli.
7. Signs and symptoms of celiac disease include
b. early menopause.
d. early menarche.
8. Patients with celiac disease who have mostly nongastrointestinal symptoms have
a. latent celiac disease.
b. silent celiac disease.
c. atypical celiac disease.
d. classical celiac disease.
9. Malabsorption of a single nutrient can lead to symptoms of other conditions. For example, calcium malabsorption may result in symptoms of
a. renal failure.
b. hepatic encephalopathy.
10. A chief complaint of patients with celiac disease is
a. abdominal distention.
c. abdominal pain.
d. diarrhea or constipation.
11. For both classical and atypical celiac disease, diagnosis is confirmed by all of the following except
a. serological testing.
b. biopsy evidence of villous atrophy.
c. positron emission tomography.
d. symptom improvement on a gluten-free diet.
12. Of the following, which is sometimes called celiac disease of the skin?
a. nummular dermatitis
b. stasis dermatitis
c. seborrheic dermatitis
d. dermatitis herpetiformis
13. Patients being tested for celiac disease should be instructed to
a. eliminate oats from the diet, except for gluten-free oats.
b. continue to ingest gluten.
c. eat a high-fructose diet.
d. avoid all contact with gluten.
14. Treatment for celiac disease includes
a. disease-modifying antirheumatic drugs.
b. 5-alpha-reductase inhibitors.
c. adherence to a gluten-free diet.
d. antiangiogenic agents.
15. In educating a patient with celiac disease, which of the following statements would be appropriate?
a. “Avoid gluten-free pasta cooked in water previously used for regular pasta.”
b. “Avoid shampoos and lotions that contain gluten.”
c. “Vitamins are gluten free.”
d. “Lipsticks containing gluten are safe to use.”
16. A comorbidity that is frequently associated with celiac disease is
b. polycystic ovary syndrome.
c. Marfan syndrome.
d. thyroid disease.
17. According to the Celiac Sprue Association, undiagnosed celiac disease increases the risk of cancer by
a. 40% to 50%.
b. 120% to 150%.
c. 200% to 300%.
d. 350% to 380%.
© 2012 Lippincott Williams & Wilkins, Inc.